MR. CLARK GUEST
LAADC #LNR2090411 specializing in counselor in Hayden, Idaho
NPI: 1215147400
Provider Type
1
Practice Locations
Mailing Location
Practice Location
Provider Information
Gender:M
Sole Proprietor:Yes
Enumeration Date:5/23/2007
Last Updated:5/16/2022
Credentials
Primary Credential:LAADC #LNR2090411